A study of 128 elderly women with low bone mass (a risk factor for osteoporosis) investigated whether low-level hormone replacement could reduce these side effects while still providing the same benefits (especially concerning bone mass) as higher-level HRT. Women received hormone replacement or a placebo for 3.5 years, and bone density of the spine, hip, forearm and total body was measured at six-month intervals. Calcium and vitamin D supplements were also provided to both groups during the study period.

Bone density of the spine, forearm and total body increased significantly in the hormone replacement group compared to the placebo group. Most encouraging was the observation that the usual side effects of HRT were generally mild and short-lived, often disappearing within six months.

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I have been a patient of Dr. Pisarek for a few years now. Every morning I have to say "thank you Dr. P.!". Your care and your treatment renew my energy... no more pains in my lower back, knee and foot. With your help I lost 20 pounds and I am keeping it off. I am really grateful to you and your wife Hilda for taking care of me. My retirement got a new meaning, thanks to you.